Evidence map›Paper›PMID 33123545›Full record

ReviewFrontiers in nutrition2020

Nutritional Management of Patients With Enterocutaneous Fistulas: Practice and Progression.

Qin-Qing Tang, Zhi-Wu Hong, Hua-Jian Ren, Lei Wu, Ge-Fei Wang, Guo-Sheng Gu, Jun Chen, Tao Zheng, Xiu-Wen Wu, Jian-An Ren and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Management of Enterocutaneous Fistula: A Review.JNMA; journal of the Nepal Medical Association · 2022
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Qin-Qing TangJinling Hospital Research Institute of General Surgery, Nanjing, China.
Zhi-Wu HongJinling Hospital Research Institute of General Surgery, Nanjing, China.
Hua-Jian RenJinling Hospital Research Institute of General Surgery, Nanjing, China.
Lei WuJinling Hospital Research Institute of General Surgery, Nanjing, China.
Ge-Fei WangJinling Hospital Research Institute of General Surgery, Nanjing, China.
Guo-Sheng GuJinling Hospital Research Institute of General Surgery, Nanjing, China.
Jun ChenJinling Hospital Research Institute of General Surgery, Nanjing, China.
Tao ZhengJinling Hospital Research Institute of General Surgery, Nanjing, China.
Xiu-Wen WuJinling Hospital Research Institute of General Surgery, Nanjing, China.
Jian-An RenJinling Hospital Research Institute of General Surgery, Nanjing, China.
Jie-Shou LiJinling Hospital Research Institute of General Surgery, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of enterocutaneous fistulas (ECF) can be challenging because of massive fluid loss, which can lead to electrolyte imbalance, severe dehydration, malnutrition and sepsis. Nutritional support plays a key role in the management and successful closure of ECF. The principle of nutritional support for patients with ECF should be giving enteral nutrition (EN) priority, supplemented by parenteral nutrition if necessary. Although total parenteral nutrition (TPN) may be indicated, use of enteral feeding should be advocated as early as possible if patients are tolerant to it, which can protect gut mucosal barrier and prevent bacterial translocation. A variety of methods of enteral nutrition have been developed such as fistuloclysis and relay perfusion. ECF can also be occluded by special devices and then EN can be implemented, including fibrin glue application, Over-The-Scope Clip placement and three-dimensional (3D)-printed patient-personalized fistula stent implantation. However, those above should not be conducted in acute fistulas, because tissues are edematous and perforation could easily occur.

Indexed as

enteral nutritionenteroatmospheric fistulaenterocutaneous fistulafistuloclysisparenteral nutrition

Identifiers

PMID33123545
PMCPMC7573310

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.